MEDICARE: MR. KENNETH WAYNE MOFFETT SR. REGISTERED CERTIFIED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1144050766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KENNETH WAYNE MOFFETT SR. REGISTERED CERTIFIED

Provider Business Mailing Address
First Line	:	1315 N COOPER ST #126
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-5564
Country	:	US
Telephone Number	:	214-462-5387
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 N COOPER ST #126
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-5564
Country	:	US
Telephone Number	:	214-462-5387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	08/07/2024

Similar Medicare Providers

1053139667 — PEOPLE'S HEALTHCARE TX LLC
Practice Location Address:

1225 PECAN SQUARE DR APT 46
ARLINGTON, TX
76012-5564

Practice Phone: 314-898-3809
Practice Fax: 314-820-1222

1942154562 — CLARTE WELLNESS, PLLC
Practice Location Address:

1112 E COPELAND RD STE 420 , SUITE 420
ARLINGTON, TX
76011-1315

Practice Phone: 682-235-2651
Practice Fax:

1346194420 — IUNITY HOME CARE LLC
Practice Location Address:

110 W RANDOL MILL RD STE 212
ARLINGTON, TX
76011-4611

Practice Phone: 800-253-6555
Practice Fax:

1942836226 — RHI MAGNOLIA OF NORTH TEXAS, LLC
Practice Location Address:

1250 E COPELAND RD STE 260
ARLINGTON, TX
76011-1345

Practice Phone: 214-275-6200
Practice Fax: 214-624-6939

1578420808 — ANTHONETTA ELLISON
Practice Location Address:

622 HEATHER TRL APT 1105
ARLINGTON, TX
76011-3759

Practice Phone: 214-397-7002
Practice Fax:

1801741467 — SHARMAZIN STUDIO
Practice Location Address:

622 HEATHER TRL APT 1105
ARLINGTON, TX
76011-3759

Practice Phone: 214-397-7002
Practice Fax:

Directions to “ MR. KENNETH WAYNE MOFFETT SR. REGISTERED CERTIFIED” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.